2015—2021年武汉某三甲医院NICU住院早产儿的医疗负担研究

魏聪; 杨璞; 汪霞; 冯淑文; 张元珍; 赵东赤

doi:10.14188/j.1671-8852.2022.0876

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2015—2021年武汉某三甲医院NICU住院早产儿的医疗负担研究

临床医学研究 | 更新时间：2026-11-05

- 2015—2021年武汉某三甲医院NICU住院早产儿的医疗负担研究
- A study on the medical burden of preterm infants inpatient in NICU of a certain grade A tertiary hospital in Wuhan from 2015 to 2021
- 武汉大学学报（医学版） 2025年46卷第7期页码：916-921
- 作者机构：
  
  1.武汉大学中南医院妇儿医院儿科湖北武汉 430071
  2.武汉大学儿童健康大数据研究中心湖北武汉 430071
  3.武汉大学中南医院妇儿医院产前诊断中心湖北武汉 430071
- 作者简介：
  
  魏聪，女，1987—，医学硕士，主治医师，主要从事儿童及新生儿危重症的研究， E⁃mail: gdzg123@126.com
  赵东赤，男，1964—，医学博士，教授，主要从事儿童感染和新生儿疾病的研究， E⁃mail: zhao_wh2004@hotmail.com
- 基金信息：
- DOI：10.14188/j.1671-8852.2022.0876
  中图分类号： R722.2
- 收稿：2022-11-13，
  
  纸质出版：2025-07-25
- 稿件说明：
移动端阅览
魏聪,杨璞,汪霞等.2015—2021年武汉某三甲医院NICU住院早产儿的医疗负担研究[J].武汉大学学报（医学版）,2025,46(07):916-921.

WEI Cong,YANG Pu,WANG Xia,et al.A study on the medical burden of preterm infants inpatient in NICU of a certain grade A tertiary hospital in Wuhan from 2015 to 2021[J].Medical Journal of Wuhan University,2025,46(07):916-921.
魏聪,杨璞,汪霞等.2015—2021年武汉某三甲医院NICU住院早产儿的医疗负担研究[J].武汉大学学报（医学版）,2025,46(07):916-921. DOI： 10.14188/j.1671-8852.2022.0876.

WEI Cong,YANG Pu,WANG Xia,et al.A study on the medical burden of preterm infants inpatient in NICU of a certain grade A tertiary hospital in Wuhan from 2015 to 2021[J].Medical Journal of Wuhan University,2025,46(07):916-921. DOI： 10.14188/j.1671-8852.2022.0876.

摘要

目的

探讨综合医院早产儿住院费用负担和费用构成，为特殊人群医保支付提供依据。

方法

总结2015—2021年于武汉大学中南医院NICU住院的早产儿临床资料，收集出院早产儿住院费用，根据支付项，费用分解为药费、床位费、治疗费、检验费、材料费和影像学费用等。分别按出生胎龄（GA）和出生体质量（BW）分组对数据进行统计分析。

结果

本研究胎龄中位数34周，出生体质量中位数2 090 g，住院费用中位数为20 494（13 120，33 323）元，住院时间11(7，17) d。早产儿住院费用7年间增长81%；存活超早产儿及GA28周早产儿的住院费用显著高于其他胎龄组，分别为82 457元和67 256元；超低和极低出生体质量儿住院费用为67 039元和50 580元。住院费用以治疗费占比最高，达49.6%。

结论

近7年NICU住院早产儿医疗费用逐渐增加，随早产儿胎龄和出生体质量降低而增高，住院费用以治疗费用增加为主；早产儿按胎龄分组较体质量分组更准确反映早产儿疾病实际需要支付的住院费用。

Abstract

Objective

To explore the burden and composition of hospitalization expenses of preterm infants in general hospitals

and to provide evidence for medical insurance payment of special residents.

Methods

Clinical data and hospitalization expenses of preterm infants hospitalized in the NICU of Zhongnan Hospital of Wuhan University from 2015 to 2021 were collected and summarized. According to payment items

the expenses were decomposed into drug expenses

bed expenses

treatment expenses

examination fees

materials fees and imaging fees

etc. The data were statistically analyzed by birth gestational age (GA) and body weight (BW).

Results

The median gestational age of preterm infants in this study was 34 weeks

the median birth weight was 2 090 g

the median hospitalization cost was 20 494 (13 120

33 323) yuan

and the length of hospitalization was 11(7

17) days. The hospital expenses of preterm infants increased by 80% in 7 years. The hospitalization expenses of surviving extremely preterm infants and GA 28⁃week preterm infants were significantly higher than those of other GA groups. The hospital expenses for extremely low and very low birth weight infants were 67 039 yuan and 50 580 yuan.

Conclusion

In the recent 7 years

the medical expenses of hospitalized preterm infants in NICU increased gradually

and increased with the decrease of gestational age and birth weight

with treatment costs being the main contributor to the increase. Grouping preterm infants by gestational age is more accurate than by birth weight in reflecting the actual hospitalization costs required for their diseases.

关键词

Keywords

references

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彭玲 , 张华 , 柳秋菊 , 等 . 基于主动转运的早产儿住院费用及影响因素分析 [J ] . 中国病案 , 2015 , 16 ( 1 ): 68 ⁃ 72 .

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彭伊婧 , 孙琰 , 余仁强 , 等 . 基于决策树模型的早产儿病例住院费用的分组研究 [J ] . 中国卫生经济 , 2023 , 42 ( 4 ): 30 ⁃ 33 .

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